cswork / libraryOpen practice workspace

Interview guides · Doximity

Doximity Software Engineer Interview Guide

Doximity Software Engineer interview guide: reported rounds, questions and how candidates describe the process.

The 60-second brief

As a Software Engineer at Doximity, you are building the digital backbone for the largest professional network for physicians in the United States. Your work directly impacts how healthcare professionals communicate, coordinate patient care, and stay informed on medical research. You aren't just writing code; you are solving complex challenges at scale that facilitate critical information flow in the medical industry. The role requires a blend of high-level architectural thinking and meticulous implementation. You will work within a collaborative, fast-paced environment where your ability to ship maintainable, performant code is as valued as your ability to think critically about product requirements. Whether you are optimizing a backend service or enhancing a user-facing feature, your contributions directly influence the efficiency of the healthcare ecosystem.

This guide is scoped to a Software Engineer candidate at Doximity.

Focus areas

  • System Design
  • Frontend Engineering
  • Scalability

The Doximity interview process

Doximity candidates report 3 rounds over 3-5 weeks. The stages below are what candidates describe, not a published process.

Recruiter Screen

Initial discussion with a recruiter or hiring manager about your background and interest in the company.

What to demonstrate

  • Initial discussion with a recruiter or hiring manager about your background and interest in the company
  • Depth in System Design

How to prepare

  • Be able to walk your CV end to end in two minutes, and say why this company specifically.
  • Have your salary expectations, notice period and location constraints ready, and ask for the rest of the loop in writing.

Take-Home Assignment

Complete a take-home coding assignment, which is often the most time-intensive phase.

What to demonstrate

  • Complete a take-home coding assignment, which is often the most time-intensive phase
  • Depth in System Design

How to prepare

  • Answer aloud and timed: Can you explain the concept of closures in JavaScript?
  • Answer aloud and timed: How do you approach versioning an API to ensure backward compatibility?

Technical Interviews

Participate in a series of technical interviews covering system design, language-specific expertise, and possibly a live pair-programming session.

What to demonstrate

  • Participate in a series of technical interviews covering system design, language-specific expertise, and possibly a live pair-programming session
  • Depth in System Design

How to prepare

  • Answer aloud and timed: What is the difference between various SQL join types, and when would you use each?
  • Answer aloud and timed: How would you design a caching strategy for a high-traffic application?

Where candidates lose points

Own your choices

If you make a design decision in your code, be ready to defend it based on performance or maintainability trade-offs.

Ask clarifying questions

When presented with an ambiguous problem, don't jump to coding. Ask questions to narrow the scope and demonstrate your analytical approach.

Review your own code

Before submitting your take-home, review it as if you were the interviewer. Look for edge cases, potential bottlenecks, and areas for improvement.

Prepare for behavioral questions

Use the STAR method (Situation, Task, Action, Result) to structure your answers to behavioral questions, ensuring you highlight your personal impact.

Questions & practice

Can you explain the concept of closures in JavaScript?

Medium · Technical Domain & Web Fundamentals

Approach

  1. Say what the runtime actually does before reasoning about the code.
  2. Name what is shared across threads and what owns each piece of state.
  3. Identify the window where an invariant is briefly untrue.
  4. Distinguish a value from a reference to it, and say which one you handed out.

Follow-up

  • What happens if two callers reach this at the same time?
  • Where could this allocate more than you expect?

How do you ensure your code remains maintainable as a project grows in complexity?

Medium · System Design & Problem Solving

Approach

  1. Restate the input: its shape, its size, and what is guaranteed about it.
  2. Name the brute-force solution and its complexity before improving on it.
  3. Choose the data structure from the access pattern, not from familiarity.
  4. State the target complexity and say which constraint rules the naive version out.

Follow-up

  • How does this change if the input no longer fits in memory?
  • What is the worst case, and how likely is it on real data?

Diff a projection against the primary without per-row point reads

Hard · reconciliation · range hashing · throttling

The listing projection has drifted and some rows show a stale version. The primary holds 40,000,000 resource rows across 12,000 tenants while serving 1,200 writes and 14,000 reads per second. The obvious repair, reading each resource row and comparing its version against the projection, is correct and would eventually finish. Explain precisely why it is unacceptable here, then give a diff that finds the differing rows, state its complexity, and make it safe to run against a live primary. Replication lag is usually under 100 ms and is not bounded.

Approach

  1. Quantify the naive cost rather than calling it slow: 40,000,000 point reads at even 0.5 ms each is over five hours serialised, and the only lever is concurrency, which is exactly what you cannot spend. The primary's pool is sized for the write path, and 40,000,000 random reads evict the buffer cache that sustains the 85 percent cache hit rate, so the audit degrades the system it is auditing.
  2. Replace random access with one ordered pass per side. Both sides can be read in (tenant_id, resource_id) order, which is a sequential scan on each and a merge join in O(n) time and O(1) memory. For a dense diff that is the whole answer, and it reads the primary once instead of 40,000,000 times.
  3. For the expected sparse case, compare range hashes instead of rows: partition the key space, compute per range an order-independent aggregate over hash(resource_id, version), compare aggregates, and descend only into ranges that differ. With d differing rows and branching factor B, at most d ranges mismatch per level, so the drill-down examines O(d log_B(n/d)) ranges and reads full rows only in mismatching leaves.
  4. Aggregate with a sum modulo 2^64 or a multiset hash, never XOR. XOR is order-independent but self-cancelling, so two rows wrong in the same way, or a row duplicated on one side, leave the range aggregate matching and the range is declared clean.

Follow-up

  • The diff reports 900 stale rows. How do you decide between patching those rows and rebuilding the projection from resource_revision?
  • Same job, but the projection lives in a search index that cannot be scanned in key order. What changes?

What is the difference between various SQL join types, and when would you use each?

Medium · Technical Domain & Web Fundamentals

Approach

  1. Name the grain you start from and join outward from it.
  2. Check whether any join is one-to-many before aggregating, or the sums inflate.
  3. Say which index the query would use, and what makes it unusable.
  4. Handle the rows that do not match: that is usually the actual question.

Follow-up

  • How does the query change if that join becomes one-to-many?
  • What happens to this when the table is ten times larger?

Stop tag and share joins from fanning out a page

Medium · join fan-out · semi-joins · many-to-many

resource_tag is (resource_id, tag_id) with PK (resource_id, tag_id); resource_share is (resource_id, shared_with_user_id, permission). The tagged-and-shared listing inner-joins resource to both, filters tenant_id, tag_id = ANY($2) and shared_with_user_id = $3, orders by updated_at DESC and takes 50. Pages come back with fewer than 50 distinct resources and the total in the header is far too high. Explain the row multiplication, rewrite both the page query and the count query so each is correct, and name the index each one needs. PostgreSQL 16.

Approach

  1. Do the arithmetic against the predicates that are actually there. An inner join emits one row per matching child row, and both joins are filtered: tag_id = ANY($2) admits only the requested tags, shared_with_user_id = $3 admits one user's share rows. So a resource holding three of the requested tags and shared with $3 once yields three rows, not one — the multiplier is its count of matching tags times its share rows for that single user, and that second factor is 1 unless the table admits duplicate (resource_id, shared_with_user_id) pairs. LIMIT 50 then limits rows rather than resources, and COUNT(*) counts pairs — the header is the product, not the population.
  2. Reject DISTINCT as the fix. It deduplicates after the product has been built, so the planner must materialise and sort the fanned-out set before the LIMIT can apply, and it leaves any SUM or AVG in the same select list wrong.
  3. Rewrite both filters as semi-joins, keeping resource as the only row source: AND EXISTS (SELECT 1 FROM resource_tag rt WHERE rt.resource_id = r.resource_id AND rt.tag_id = ANY($2)) and the same shape against resource_share. A semi-join stops at the first match per resource and preserves the driving index order, so ORDER BY updated_at DESC, resource_id DESC LIMIT 50 still stops after 50 rows.
  4. Count with the same predicates and no join at all: SELECT count(*) FROM resource r WHERE r.tenant_id = $1 AND r.status = 'active' AND EXISTS (...) AND EXISTS (...). Nothing multiplies a resource, so the number is the population.

Follow-up

  • The filter changes from 'any of these tags' to 'all of these tags'. Rewrite it and state what it costs relative to the ANY form.
  • A resource can be shared with the same user twice under different permissions. Does your count change, and should it?

What are the pros and cons of a monolithic architecture versus microservices?

Medium · Technical Domain & Web Fundamentals

Approach

  1. Fix the scope first: who calls this, how often, and what they do when it fails.
  2. Name the read and write paths separately; they rarely have the same bottleneck.
  3. Choose a partition key and say what query it makes expensive.
  4. State the consistency you need, and where you are willing to be stale.

Follow-up

  • What breaks first when traffic grows ten times?
  • How does this behave when that dependency is down for an hour?

How does the Rails asset pipeline function, and what are its performance implications?

Medium · Technical Domain & Web Fundamentals

Approach

  1. Clarify what is being asked and what a complete answer contains.
  2. State your assumptions explicitly before working the problem.
  3. Say what you would check first and why it is the highest-information step.
  4. Work from the requirement backwards to the design.

Follow-up

  • What assumption would you test first?
  • How would you know your answer was wrong?

How do you approach versioning an API to ensure backward compatibility?

Medium · Technical Domain & Web Fundamentals

Approach

  1. Say who the caller is and what they do when the call fails halfway.
  2. Define the identity of a request so a retry cannot double-apply it.
  3. Separate accepted, pending, failed and confirmed; they are different facts.
  4. Design the error taxonomy before the success shape; callers branch on it.

Follow-up

  • What happens if the caller retries after a timeout?
  • How does a client discover it is on an old version of this contract?

How would you design a caching strategy for a high-traffic application?

Medium · System Design & Problem Solving

Approach

  1. Fix the scope first: who calls this, how often, and what they do when it fails.
  2. Name the read and write paths separately; they rarely have the same bottleneck.
  3. Choose a partition key and say what query it makes expensive.
  4. State the consistency you need, and where you are willing to be stale.

Follow-up

  • What breaks first when traffic grows ten times?
  • How does this behave when that dependency is down for an hour?

If you were tasked with building a new feature, how would you break it down into manageable components?

Medium · System Design & Problem Solving

Approach

  1. Fix the scope first: who calls this, how often, and what they do when it fails.
  2. Name the read and write paths separately; they rarely have the same bottleneck.
  3. Choose a partition key and say what query it makes expensive.
  4. State the consistency you need, and where you are willing to be stale.

Follow-up

  • What breaks first when traffic grows ten times?
  • How does this behave when that dependency is down for an hour?

p99 jumped on one listing filter while p50 stayed flat

Medium · query planning · composite index · percentiles

After a release that added an owner_user_id filter to the resource listing, p99 rose from 90 ms to 1.9 s while p50 stayed at 40 ms. Traffic and row counts are unchanged. resource carries the index (tenant_id, status, updated_at DESC, resource_id DESC). The new query filters tenant_id and owner_user_id, orders by updated_at DESC, resource_id DESC, and takes 20 rows. On PostgreSQL, explain the shape of the regression, prove it from a query plan, and give the index you would add.

Approach

  1. Start from the shape. A flat p50 with a moved p99 means a subset of requests changed cost, not all of them, so the first job is naming the subset. Bucket the endpoint's latency by the tenant's row count; the natural hypothesis is that large tenants are a small share of requests and all of the tail.
  2. Get the plan for the new query on a large tenant with EXPLAIN (ANALYZE, BUFFERS). Expect an index scan over the tenant's range, a filter discarding most of it, then a Sort feeding the Limit, possibly reporting Sort Method: external merge Disk. Read actual rows on the scan node, not estimated.
  3. Explain why the existing index cannot serve it. A composite B-tree is seekable only as a left prefix, and with no equality predicate on status the scan cannot treat updated_at as an ordering, because rows in the tenant's range are ordered by status first. Everything matching must be read and sorted before LIMIT 20 can apply, so a tenant with 400,000 rows pays 400,000 rows to return 20.
  4. Add (tenant_id, owner_user_id, updated_at DESC, resource_id DESC). Equality on the first two columns leaves the index ordered by updated_at within that pair, so the plan becomes an index scan that stops after 20 rows with no Sort node. PostgreSQL can scan a B-tree backwards, so the DESC markers matter only if the two sort columns ever disagree in direction; keeping them explicit documents the order the keyset cursor depends on.

Follow-up

  • The endpoint paginates with OFFSET. What does page 500 cost with your index, and what does the keyset version cost?
  • How would you have caught this before release, given that a 10,000-row seed database produces the same plan shape at an unnoticeable cost?

Suggested practice checklist

Built from the rounds and topics Doximity candidates report.

Day 1 — Map the Doximity loop

  • Write out the reported sequence: Recruiter Screen, Take-Home Assignment, Technical Interviews.
  • For each round, write one sentence on what it is judging, from the description above, and mark the one you are least ready for.

Deliverable: A one-page map of the 3 reported rounds, with the weakest marked.

Day 2 — Work System Design

  • Spend the session on System Design, which Doximity candidates report being tested on.
  • Write one worked example in System Design and time yourself on it.

Deliverable: One timed worked example in System Design.

Day 3 — Work Frontend Engineering

  • Spend the session on Frontend Engineering, which Doximity candidates report being tested on.
  • Write one worked example in Frontend Engineering and time yourself on it.

Deliverable: One timed worked example in Frontend Engineering.

Day 4 — Work Scalability

  • Spend the session on Scalability, which Doximity candidates report being tested on.
  • Write one worked example in Scalability and time yourself on it.

Deliverable: One timed worked example in Scalability.

Day 5 — Answer out loud: Technical Domain & Web Fundamentals

  • Answer aloud, timed: What are the pros and cons of a monolithic architecture versus microservices?
  • Answer aloud, timed: How does the Rails asset pipeline function, and what are its performance implications?

Deliverable: Spoken answers to 2 reported Technical Domain & Web Fundamentals question(s), under time.

Day 6 — Answer out loud: System Design & Problem Solving

  • Answer aloud, timed: How would you design a caching strategy for a high-traffic application?
  • Answer aloud, timed: Describe a time you had to debug a performance bottleneck in a production environment.

Deliverable: Spoken answers to 2 reported System Design & Problem Solving question(s), under time.

Day 7 — Answer out loud: Behavioral & Cultural Alignment

  • Answer aloud, timed: Tell me about a time you disagreed with a technical decision; how did you resolve it?
  • Answer aloud, timed: How do you handle situations where you are blocked on a task?

Deliverable: Spoken answers to 2 reported Behavioral & Cultural Alignment question(s), under time.

Behavioural preparation

Behavioural rounds judge the decision you made and what it cost.

Describe a time you had to debug a performance bottleneck in a production environment.

Medium · System Design & Problem Solving

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

How do you handle database migrations without downtime?

Medium · System Design & Problem Solving

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

Tell me about a time you disagreed with a technical decision; how did you resolve it?

Medium · Behavioral & Cultural Alignment

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

How do you handle situations where you are blocked on a task?

Medium · Behavioral & Cultural Alignment

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

What do you look for in a team culture, and how do you contribute to it?

Medium · Behavioral & Cultural Alignment

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?

Describe a situation where you had to learn a new technology quickly to solve a problem.

Medium · Behavioral & Cultural Alignment

Approach

  1. Pick a story where you made the decision, not one where you watched it.
  2. State the situation in two sentences and spend the rest on the reasoning.
  3. Give the blast radius: what could have broken, and what you measured.
  4. Name the disagreement and how you resolved it with evidence.

Follow-up

  • What would you do differently if you ran that again?
  • How did you know your change caused the improvement?